Robert Wallace, M.D.
NPI 1780015610 · Diagnostic Radiology Physician · Fortson, GA
Robert Wallace, M.D. is a Diagnostic Radiology Physician provider in Fortson, GA (NPI 1780015610).
Provider details
- NPI number
- 1780015610
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13317 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-12-03
- Last updated
- 2013-12-03
Frequently asked questions
- What is Robert Wallace's NPI number?
- Robert Wallace's National Provider Identifier (NPI) is 1780015610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Wallace's specialty?
- Robert Wallace is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Robert Wallace located?
- Robert Wallace's practice location on file with NPPES is 1130 Goat Rock Road, Fortson, GA 31808.
- What is Robert Wallace's phone number?
- The practice phone number listed in the NPPES registry for Robert Wallace is (706) 323-6485.
- Is Robert Wallace's NPI active?
- Yes — Robert Wallace's NPI (1780015610) is active in the NPPES registry as of the last update on 2013-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.